This article provides healthcare providers with a step-by-step guide on how to successfully complete the NRP skills session as well as the E-sims portion of the NRP exam. The How to do NRP Skills Step by Step article does not reflect the upcoming Neonatal Resuscitation 8th edition guidelines.

Initial Neonatal Resuscitation is all about being ready. If you are not ready, your resuscitation will be inefficient. This is why it’s essential to have your American Academy of Pediatrics NRP certification. We highly recommend that our students purchase the AAP Neonatal Resuscitation Program NRP 7th Edition Textbook prior to taking your exam and NRP skills. 


Preparation for a delivery is a must. You certainly don’t want a doctor standing beside you “blowing wind tunnels” waiting for you to rummage through the drawers looking for supplies!

All healthcare providers who work in Obstetrics must be aware of the conditions that may cause an infant to require neonatal resuscitation.

Click here to view our blog on anticipating neonatal resuscitation. In addition, healthcare providers must be aware on how to prepare the proper equipment needed to assist an apneic infant or neonates requiring chest compression’s and epinephrine.

The initial steps of neonatal resuscitation include drying, stimulation, and perhaps suctioning.
If the infant is apneic or gasping, you must provide positive pressure ventilation (PPV) that causes the chest to rise and fall.

What’s the point of providing positive pressure ventilation if air does not enter the lungs!
Be a Baby Saver with NEO’s American Academy of Pediatrics NRP certification

Have someone place a pulse oximeter on the right hand as soon as possible.

Have someone get a heart rate using your stethoscope.

If the heart rate is less than 60 bpm, you must call for intubation.

You must have the right size ET tube for the gestational age of the infant.

Using a stethoscope, check the neonates heart rate

If the heart remains less than 60 bpm, prepare for the administration Epinephrine.

If the heart rate remains less than 60 bpm, the UVC is inserted just far enough the get blood return.

You may decide to give a fluid bolus of 10 ml/kg of body weight.

Nurses Educational Opportunities offers the most recognized and stress free NRP skills course in Southern California. We offer a flexible course schedule for healthcare providers. You can be assured that if there is no class scheduled to meet your needs we will schedule an NRP skills course according to your available times. Click on the link below to view our current calendar and additional course information.

Click here to view NEO’s NRP Skills Schedule